CEN Neurological Emergencies exam 2024 with 100% correct answers

To quickly evaluate a child's neurological status, all of the following standard evaluations can be used EXCEPT: a. The Epworth Scale. b. The AVPU scale. c. The Glasgow Coma Scale. d. Pupillary responses to light. correct answersA. The Epworth Scale is a measure of sleepiness and is not part of the standard evaluation of a child's neurological exam. The AVPU and Glasgow Coma scales can be used to evaluate a child's neuro status. Pupillary size and response should also be checked. The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for immediate general assessment by a stroke team or emergency physician as: a. Within 1 minute of arrival. b. Within 10 minutes of arrival. c. Within 30 minutes of arrival. d. Within 60 minutes of arrival. correct answersB. The goal for general assessment by an ED or stroke team physician is within 10 minutes of arrival to the ED. Within the same 10 minutes, an urgent CT without contrast should also be ordered. The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for initiation of fibrinolytic therapy in appropriate patients as: a. Within 1 hour of hospital arrival. b. Within 3 hours of hospital arrival. c. Within 4 hours of hospital arrival. d. Within 6 hours of hospital arrival. correct answersA. NINDS recommends a goal for initiation of fibrinolytic therapy within 1 hour of arrival to the ED. NINDS also recommends a goal of door-to-admission time of 3 hours. Signs and symptoms of stroke may include all of following EXCEPT: a. Sudden weakness or numbness of the face, arm or leg.